Ensuring complete equipment maintenance - Introduction to German clinical medical engineering management
Release date: 2006-10-27 Ensuring top-notch equipment maintenance is a critical aspect of clinical medical engineering in Germany, offering valuable insights for hospitals worldwide. In recent years, the share of medical equipment in hospital fixed assets has significantly increased. For example, in Zhejiang Province, major hospitals allocate between one-third and half of their total fixed asset value to medical devices, with some investments reaching tens or even hundreds of millions of yuan. Managing this equipment efficiently and effectively has become a fundamental task for hospitals to ensure smooth operations. This requires medical equipment departments to adopt scientific, rigorous, and forward-thinking management strategies, moving beyond traditional transactional models toward system-based, process-driven approaches that can evolve with technological and environmental changes.
In June 2005, a delegation from the Zhejiang Provincial Health Department visited Germany to study its advanced medical equipment management practices. During the visit, they gained valuable knowledge about procurement, quality assurance, and risk management in German hospitals. These institutions have well-developed systems and innovative strategies that could be beneficial for other countries to adopt.
The Clinical Engineering Department in German hospitals plays a key role in ensuring the reliable operation of medical equipment. It includes project managers, biomedical engineers, and clinical engineers, who are organized into specialized teams. One department focuses on maintenance, repairs, and daily operations, while another handles procurement, acceptance, and documentation. Although similar structures exist in Chinese hospitals, German counterparts often have more staff and higher technical expertise.
German medical facilities also emphasize the importance of proximity between clinical engineering and clinical departments, enabling quicker responses during emergencies. This contrasts with many Chinese hospitals, where such departments may be located in less accessible areas.
At the University of Münster Hospital and St. Lucas Hospital, the maintenance areas are well-equipped with cranes, tools, testing instruments, and monitoring devices. The workstations are designed for efficiency, with proper grounding and multiple interfaces. This level of preparation supports high-quality, safe equipment performance.
A notable feature of German medical engineering is the emphasis on proactive, planned preventive maintenance (PM). This is mandated by law, with strict adherence to international standards like IEC, ISO, and EU regulations. PM involves regular inspections, safety checks, and performance evaluations to minimize risks, extend equipment life, and reduce costs. At the University of Münster Hospital, for instance, ventilators undergo thorough cleaning, inspection, and testing before being labeled and signed off by a clinical engineer.
Many older ventilator models still in use in Germany are no longer available in China, highlighting the benefits of effective maintenance. Hospitals also maintain spare equipment to ensure continuous availability.
In larger German hospitals, PM processes are often managed through computerized systems. Some use barcode technology for efficient asset tracking and maintenance records. This approach improves accuracy and simplifies management.
Beyond routine tasks, German clinical engineering departments actively participate in hospital planning, budgeting, and research projects. Their input helps optimize hospital operations, reduce costs, and promote innovation. This collaboration reflects the high regard these departments receive from hospital leadership.
Compared to China, where medical engineering departments have grown but face challenges due to lack of regulation and underinvestment, Germany's structured approach ensures better equipment quality control and long-term sustainability. By learning from Germany’s model, other countries can enhance their medical equipment management systems and improve patient care outcomes.
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